LISA GUSHIN D.D.S. P.A. NPI 1558548875

NPI Information

NPI: 1558548875
Provider Name: LISA GUSHIN D.D.S. P.A.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
203 OWEN DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 484-1771
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LISA GUSHIN D.D.S. P.A. is a dental clinic center in Fayetteville, NC. LISA GUSHIN D.D.S. P.A. NPI is 1558548875. The provider is registered as an organization entity type.

The provider's business location address is:

203 OWEN DR
FAYETTEVILLE, NC
ZIP 28304-409
Phone: (910) 484-1771
Fax: (910) 484-8876

The provider's authorized official is Lisa Gushin .
The authorized official title is President and has the following contact phone number (910) 484-1771.

The enumeration date for this NPI number is 1/29/2008 and was last updated on 1/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	6908	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	586286	OTHER	NORTH CAROLINA	UNITED CONCORDIA
2	9010F	OTHER	NORTH CAROLINA	BCBS
3	899010F	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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